NPI | 1124269667 |
---|---|
Former Name | GUADALEA LANI ESPE VAN VLEIT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 2781) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 1028133) |
Enumeration Date | 2009-03-12 |
Last Update Date | 2012-06-12 |